Search Results: 24,372 vacancies

 ...Daily responsibilities will include the following: Candidates will be reviewing medical patient records against standard medical criteria. Candidates MUST have 3 years of clinical nursing experience along with 1 year of utilization or medical claims review experience... 
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Saviance

Long Beach, CA
4 days ago
 ...Anticipated End Date: 2024-05-06 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I Location: Within 50...  ...Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior... 
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Elevance Health

Cerritos, CA
3 days ago
 ...Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California. Job...  ...benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending... 
Medical
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Pyramid Consulting

Los Angeles, CA
5 days ago
 ...candidate will join a highly collaborative team and will be responsible for supporting Guggenheim’s compliance program with a focus on reviewing marketing materials for compliance with regulatory requirements and internal policies and procedures. The successful candidate... 
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Full time
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Guggenheim Partners

Santa Monica, CA
2 days ago
 ...desired outcomes with quality care that is medically appropriate and cost-effective based on...  ...procedures. Conducts prior authorization reviews to determine financial responsibility for...  ...Completion of an accredited Registered Nurse (RN). Required Experience 1-3 years... 
Medical

Molina Healthcare

Long Beach, CA
2 days ago
Overview: St. Francis Medical Center is one of the leading comprehensive healthcare...  ...comprehensive admission and concurrent review of the medical record for the medical necessity...  ...-graduation of an accredited school of nursing and a current state Registered Nurse... 
Medical
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St. Francis Medical Center

Lynwood, CA
3 days ago
We're looking for a talented Revenue Integrity Analyst / Claims Review Specialist to join our team on a 24-week contract basis. As a crucial member of our team, you'll be instrumental in optimizing the operational and financial effectiveness of our dynamic health system... 
Medical
Full time
Contract work
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Get It Recruit - Healthcare

Los Angeles, CA
20 days ago
 ...get in a civilian career. Challenging Work Feel inspired with great case diversity and over 40,000 visits coming into the U.S. Army medical facilities and clinics around the world every day. See and study diseases that are not usually encountered in the private sector,... 
Medical

United States Army

Artesia, CA
4 days ago
 ...desired outcomes with quality care that is medically appropriate and cost-effective based on...  ...medical necessity/utilization review, and/or other utilization management activities...  ...Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.... 
Medical

Molina Healthcare

Long Beach, CA
1 day ago
 ...Job Description Avata Partners is seeking a Document Review Attorney in The Los Angeles area. What is a Document Review Attorney? A document review attorney is responsible for reviewing all documents pertaining to a court case. Most of the work... 
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Full time

Avata Partners

Los Angeles, CA
2 days ago
 ...Job Responsibilities The Utilization Review Case Manager validates the patient's placement...  ...criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual...  ...Diploma??????Graduate of an accredited nursing program?? Bachelor's Degree??Nursing preferred... 
Medical
Full time
Shift work

Cedars-Sinai Medical Center

Los Angeles, CA
10 days ago
 ...talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract...  ...but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick...  ...to Case managers/Utilization Review Nurse. Need to work with insurance companies... 
Medical
Contract work
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Immediate start

Pyramid Consulting, Inc.

Los Angeles, CA
2 hours ago
 ...Job Description JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE For this position we are seeking a (RN) Registered Nurse with previous...  ...toward desired outcomes with quality care that is medically appropriate and cost-effective based on the... 
Medical
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Molina Healthcare

Long Beach, CA
1 day ago
 ...Most Loved Workplace Forbes Best-in-State Employer Bill Review Trainer - Hearing Specialist **PRIMARY PURPOSE** : To develop...  ...the appropriate judicial body. Negotiate Workers' Compensation medical liens following unit guidelines, in house resolution unit. **... 
Medical
Local area
Work from home
Flexible hours

Sedgwick

Los Angeles, CA
23 hours ago
 ...promote effective use of resources. Ensures medically appropriate, high-quality, cost-effective...  ...pre-certification, continued stay review, care coordination, or discharge planning...  ...topics: hemodialysis, lpn, lvn, lvn lpn, nurse i, nurse iii, nurse iv, practical, practical... 
Medical
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Elevance Health

Los Angeles, CA
20 hours ago
 ...the fastest way to share a moment! We're looking for an Ad Review & Integrity Specialist to join the Review Operations team at Snap...  ...origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender... 
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Snapchat

Los Angeles, CA
4 days ago
 ...County, will be operational by Summer of 2024. Utilization Review Coordinator Position Overview Pay: $25 - $30 / Hour...  ...evaluating the necessity, appropriateness, and efficiency of the use of medical services, including inpatient psychiatric care. UR Coordinator... 
Medical
Summer work

COLLABORATIVE NEUROSCIENCE NETWORK LLC

Long Beach, CA
28 days ago
 ...attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality...  ...offer a flexible portfolio of benefits and services, including medical, dental, and vision coverage, a 401(k) plan, additional benefits... 
Medical
Remote job
Flexible hours

Redgrave LLP

Los Angeles, CA
6 days ago
 ...Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term...  ...benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending... 
Medical
Contract work
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Pyramid Consulting, Inc

Los Angeles, CA
3 days ago
 ...opportunity employer fostering a workforce that embraces and reflects the rich diversity of Los Angeles County School Site Reviewer - Instructional Materials $25 Hourly OPPORTUNITY FOR TEMPORARY EMPLOYMENT Online applications must be submitted by: 7... 
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Los Angeles County Office of Education

Downey, CA
1 day ago